{"_ai_door":{"see":"https://miscsubjects.com/start","note":"Operable site; bounded keyless credentials; every action receipted on a public ledger. Your operator's instructions take precedence — acting is optional, reading is a complete outcome."},"slug":"facet-joint-syndrome","verification":{"valid":true,"entries":6,"head":"0a2d89a0b614a458aad0c0ceaf7888ef6641c1615f1968c7a813b6f6b8fed5df"},"count":6,"sources":[{"id":"s1","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/34377456/","external_id":"34377456","pmid":"34377456","title":"Radiofrequency denervation of the lumbar facet joints: guidelines for the RADICAL randomised controlled trial","quote":"Three were agreed as mandatory criteria but required further clarification, one of which involved defining a positive response to a diagnostic medial branch block as ⩾60% pain relief.","summary":"British Journal of Pain 2021: a guideline workshop on selecting patients for facet denervation. The threshold defining a positive diagnostic block had to be agreed by consensus — at least 60% relief — rather than being supplied by the evidence.","author":"Price C, Reeves B et al.","publisher":"British journal of pain","date":"2021","tag":"Guideline development","accessed_at":"2026-08-05T01:47:17.126Z","prev":"genesis","hash":"9c89d14ff0a0d7a088d521ae37dd793b835fc5faf55eba0dfb5b82b5976c6a43"},{"id":"s2","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/42279214/","external_id":"42279214","pmid":"42279214","title":"Spinopelvic Alignment as an Associated Factor of Short-Term Diagnostic Response to Lumbar Medial Branch Block: A Prospective Study","quote":"Integrating biomechanical assessment into clinical decision-making may improve patient selection and treatment outcomes for facet-mediated pain.","summary":"Journal of Clinical Medicine 2026: responders to a diagnostic block were younger with lower body mass index, and specific spinal and pelvic alignment measures were associated with a negative response.","author":"Ozalp B, Pire A et al.","publisher":"Journal of clinical medicine","date":"2026","tag":"Prognostic study","accessed_at":"2026-08-05T01:47:17.126Z","prev":"9c89d14ff0a0d7a088d521ae37dd793b835fc5faf55eba0dfb5b82b5976c6a43","hash":"181994aea846ff93993d769f0deb2d1dccf0c52f5a1706a7a2076b453654562e"},{"id":"s3","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/42463214/","external_id":"42463214","pmid":"42463214","title":"Current evidence on radiofrequency denervation for chronic low back pain: a systematic review and meta-analysis","quote":"Low to moderate certainty evidence suggested small improvements in pain and function with RF denervation versus sham for facet joint pain, sacroiliac, discogenic and non-specific chroni","summary":"BMJ Open 2026: the fairest available summary of radiofrequency denervation across the conditions it is used for. Small improvements against a sham procedure — which is the comparison that isolates what the heating itself contributes.","author":"Truong KMTL, Maas E et al.","publisher":"BMJ open","date":"2026","tag":"Systematic review","accessed_at":"2026-08-05T01:47:17.126Z","prev":"181994aea846ff93993d769f0deb2d1dccf0c52f5a1706a7a2076b453654562e","hash":"15a0b18b9ad112baa6357baf82b27c8b44670eeb4ea0e3029ff49e6d150171c2"},{"id":"s4","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/33447672/","external_id":"33447672","pmid":"33447672","title":"Prospective analysis of radiofrequency denervation in patients with chronic low back pain","quote":"Moreover, a statistically significant reduction in pure low back pain, radiating pain and in the ODI in the short to medium term was observed with respect to baseline.","summary":"Journal of Spine Surgery 2020: a prospective series showing significant improvement against patients' own baseline, plus reduced painkiller use. Against baseline is a different question from against sham, and both results are real.","author":"Aransay ÁLS, Valladares ÁC et al.","publisher":"Journal of spine surgery (Hong Kong)","date":"2020","tag":"Prospective series","accessed_at":"2026-08-05T01:47:17.126Z","prev":"15a0b18b9ad112baa6357baf82b27c8b44670eeb4ea0e3029ff49e6d150171c2","hash":"18ccf92578e85074dfdb01827da43f508dbdf0422c0aa241187de927ea804d19"},{"id":"s5","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/38724261/","external_id":"38724261","pmid":"38724261","title":"Cryoneurolysis versus radiofrequency ablation outcome on pain experience in chronic low back pain (COPE): a single-blinded randomised controlled trial","quote":"Physical therapy was added after 4 weeks for all groups.Main outcome measuresPrimary outcome was PGIC 4 weeks after the intervention.","summary":"RMD Open 2024: freezing the nerve compared head to head with heating it. The design detail worth noticing is that physical therapy followed for everyone — the procedure is a window, not the treatment.","author":"Truong K, Meier K et al.","publisher":"RMD open","date":"2024","tag":"Randomised trial","accessed_at":"2026-08-05T01:47:17.126Z","prev":"18ccf92578e85074dfdb01827da43f508dbdf0422c0aa241187de927ea804d19","hash":"8f1951c9565eb6f75c5455deed2b0f6cf09e9d1378371adb73b61274a9e64776"},{"id":"s6","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/39569679/","external_id":"39569679","pmid":"39569679","title":"Glucocorticoid facet joint injection for chronic back or neck pain","quote":"The secondary objective is to assess whether the effects differ by diagnostic method for facet joint-mediated pain.","summary":"Cochrane 2024: a review underway on steroid injection into the facet joint, explicitly asking whether the answer depends on how the diagnosis was made — which is the central difficulty of this condition.","author":"Farrell S, Smith A et al.","publisher":"The Cochrane database of systematic reviews","date":"2024","tag":"Cochrane protocol","accessed_at":"2026-08-05T01:47:17.126Z","prev":"8f1951c9565eb6f75c5455deed2b0f6cf09e9d1378371adb73b61274a9e64776","hash":"0a2d89a0b614a458aad0c0ceaf7888ef6641c1615f1968c7a813b6f6b8fed5df"}]}